PH.D. PROGRAM POLICY HANDBOOK

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1 Revised August 12, 2015 PH.D. PROGRAM POLICY HANDBOOK Department of Health Policy and Administration 604 Ford Building The Pennsylvania State University University Park, PA (814)

2 TABLE OF CONTENTS INTRODUCTION...1 Purpose of this Handbook...1 Statement of Nondiscrimination...1 Governance...1 Faculty...2 PH.D. CURRICULUM...3 Core Requirements...3 Health Care Policy and Organization Segment...3 Health Services Research Methods Segment...4 Ph.D. Program Tracks...4 Health Economics...4 Health Care Management and Organization...6 Population Health Tracks...11 OTHER PROGRAM REQUIREMENTS...16 HPA Program Requirements...17 Mentors and Advisors...17 Responsibilities of Advisor and Student...18 Plan of Study...18 Development of the Plan of Study...18 Doctoral Thesis Committee...19 Membership of Doctoral Committee...20 Procedures...20 Research and the Thesis...20 Dissertation Formats...21 Dissertation Proposal...21 Guidelines for Writing a Dissertation Proposal...21 Procedures...21 Human Subjects Protection...22 Style and Format of the Thesis...22 Thesis Submission...22 Graduate Program in Scholarship and Research Integrity...23 Graduate School Requirements...24 Allowance for Prior Graduate Study...24 English Language Competence...25 Requirement for Residence...25

3 Graduate Assistantships and Financial Assistance...26 Assistantships...26 Faculty Senate Guidelines for TA Preparation...27 Forms...27 Funding from External Agencies...28 Tuition Assistance Program...28 Health Insurance...28 Pay Dates...28 Tax Status of Financial Assistance...29 Registration...29 Continuity of Registration...29 REVIEWS AND EVALUATIONS...29 Ph.D. Program Qualifying Exam...29 Purpose...29 Content...30 Structure...30 Grading...30 Doctoral Candidacy Review...30 Timing...30 Content and Conduct of the Review...30 Procedures...31 Annual Review...31 Doctoral Comprehensive Examination...32 Procedures...32 Doctoral Final Oral Examination...33 Scheduling...33 Thesis Draft...33 Evaluation...33 APPENDICES...34 A: HPA Independent Study and Thesis Research Agreement...34 B: Graduate Student Annual Progress Evaluation...36 C: Graduate Degree Plan of Study...39 D: Statement of Research and Career Goals...41

4 INTRODUCTION PURPOSE OF THIS HANDBOOK This Program and Policy Handbook contains the rules, regulations, policies, and procedures of the doctoral program as established by the HPA department faculty and the Graduate School at Penn State. Each student should familiarize him or herself with the materials contained herein and work with a faculty advisor to make certain that a selected Plan of Study complies with the pertinent requirements. The most current handbook is posted on the HPA Web site ( Students are responsible for being aware of current policies. In instances of discrepancy between this handbook and The Graduate School Degree Programs Bulletin, The Graduate School Degree Programs Bulletin takes precedence. By request, this publication is available in alternative media. STATEMENT OF NONDISCRIMINATION The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, national origin, race, religious creed, sex, sexual orientation, or veteran status. Discrimination or harassment against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the nondiscrimination policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA ; Tel (814) /V, (814) /TTY. U.Ed. HHD GOVERNANCE All responsibility for the academic conduct, standards, and requirements of the doctoral program rests with the HPA department faculty in accordance with university policy. Professor-in-Charge: The Professor-in-Charge (PIC) of the doctoral program is responsible for all administrative affairs of the Ph.D. Program, including the administration of academic conduct, standards, and requirements. In addition, the PIC is responsible for recommending admissions and financial support, assigning advisors to incoming students, advising the Ph.D. committee and faculty on the interpretation of policies and requirements, and performing other administrative duties as delegated by the department head. The current PIC for the HPA Doctoral Program is John Moran, Ph.D. Ph.D. Committee: The Ph.D. Committee consists of several HPA graduate faculty members and a student representative. The committee is supported by administrative staff within the HPA Department. The Ph.D. Committee advises the PIC with regard to all issues related to the Ph.D. Program (e.g., admissions, curriculum, and academic conduct) and is the main decision-making body for the doctoral program. Staff Support: Sarah Woodward and Bobbi Robison, Graduate Degree Program Assistants 1

5 FACULTY Rhonda BeLue, Ph.D. (Cornell University), Associate Professor of Health Policy and Administration. Dr. BeLue s research interests are in health disparities in families and children, evaluation methodology, and medical decision-making. Naleef Fareed, Ph.D. (Virginia Commonwealth University), Assistant Professor of Health Policy and Administration. Dr. Fareed s research interests include the effects of hospital organizational factors on patient outcomes and implementation of health care technologies including electronic medical records. Marianne Hillemeier, Ph.D. (University of Michigan), Professor of Health Policy and Administration and Demography and Department Head. Dr. Hillemeier s research focuses on the extent and causes of racial/ethnic health disparities among children and adolescents. Jeah Jung, Ph.D. (University of Minnesota), Associate Professor of Health Policy and Administration. Dr. Jung s research interests include consumer information, provider incentives and quality of care. Caprice Knapp, Ph.D. (University of Florida), Research Associate Professor of Health Policy and Administration. Dr. Knapp s research interests include program evaluation, palliative care, health care quality improvement, and pediatric oncology. Patricia Miranda, Ph.D., (University of Michigan), Assistant Professor of Health Policy and Administration. Dr. Miranda s research interests focus on social and cultural determinants of population health, health disparities, vulnerable populations, Latino populations, and cancer prevention. John Moran, Ph.D. (Pennsylvania State University), Associate Professor of Health Policy and Administration and Professor-in-Charge of the M.S and Ph.D. Programs. Dr. Moran s research interests include the economic impact of cancer, health insurance, and causal inference. Selena Ortiz, Ph.D. (University of California, Los Angeles), Assistant Professor of Health Policy and Administration. Dr. Ortiz's research examines the determinants of population health policy formation, including problem recognition, the formulation of policy proposals, and politics. Dennis Scanlon, Ph.D. (University of Michigan), Professor of Health Policy and Administration and Director of Center for Health Care and Policy Research. Dr. Scanlon s research interests relate to consumer information and health care markets, health insurance and HMO plan performance and measurement of quality. Mark Sciegaj, Ph.D. (Brandeis University), Professor of Health Policy and Administration and Professor-in- Charge of the Undergraduate Program. Dr. Sciegaj s research interests include issues of consumer-directed care in community long-term care services and support, workforce development, policy implementation, program evaluation, and multi-cultural issues in health and aging. Joel Segel, Ph.D. (University of Michigan), Assistant Professor of Health Policy and Administration. Dr. Segel s research interests include cancer, health economics, patient decision making and consumer behavior, and quality of care and outcomes. 2

6 Dennis Shea, Ph.D. (Rutgers University), Professor of Health Policy and Administration; Associate Dean for Undergraduate Studies and Outreach, College of Health and Human Development. Dr. Shea s research focuses on health policy for aging populations, financing for mental health, long-term care, prescription drug coverage, and socioeconomic disparities in health care access for the elderly. Yunfeng Shi, Ph.D. (Carnegie Mellon University), Assistant Professor of Health Policy and Administration. Dr. Shi s research interests include consumer engagement and behavior, quality measurement and reporting, health care organizations, and health information technology. CORE REQUIREMENTS PH.D. CURRICULUM The HPA Doctoral Program core curriculum is designed for all HPA Ph.D. students, regardless of specialization track (Health Economics, Health Care Management and Organization, and Population Health). The core is broken into two segments, a health care policy and organization segment and a health services research methods segment. The total credits for the core, including both segments, is 27. This consists of 12 credits in the health care policy and organization segment and 15 credits in the health services research methods segment. Health Care Policy and Organization Segment (12 credits) HPA 520: Introduction to Health Services Organization and Delivery (3 credits): This course provides an overview of health care in the United States. Topics covered include defining what is meant by health systems; health care need, utilization and health status; differences among medical care, health services delivery and public health; and the structure of health care in the United States, including personnel and types of provider organizations (e.g., hospitals, ambulatory practices, long-term care facilities). HPA 521: Research Seminar on Health Services Organization and Delivery (3): The goal of this course is to expose research degree students to the literature to build a strong foundation for advanced research courses and the thesis. The course focuses on reading published research on health services organization and delivery. It is normally to be taken in the same semester as HPA 520, and topics may be covered in parallel. The articles studied include many of the health services research classics. The course emphasizes how health service research methods are applied in published research. Classes include a mix of lectures, mock research design exercises, and student presentations on research readings. Concurrent or Prerequisite: HPA 520. HPA 510: Introduction to Health Services Financing and Policy (3): This course provides an overview of health services financing and policy in the United States. Topics covered include the different arrangements for financing and paying for health care in the United States, including the Medicare and Medicaid programs and commercial insurance; the problem of the uninsured; current issues in health payments and reimbursement; and other public finance issues related to health care. The course examines financing and policy issues, including classic and recurring debates as well as contemporary policy issues. HPA 511: Research Seminar on Health Services Financing and Policy (3): The goal of this course is to expose research degree students to the literature to build a strong foundation for advanced research courses and the thesis. The course focuses on reading published research on health services financing and policy. It is normally to be taken in the same semester as HPA 510, and topics may be covered in parallel. The articles studied include many of the health services research classics. The course emphasizes how health service research methods are applied in published research. Classes include a mix of lectures, mock research design exercises, and student presentations on research readings. Concurrent or Prerequisite: HPA

7 Health Services Research Methods Segment (15 credits) STAT 401: Experimental Methods (3 credits): This course covers basic concepts of probability and statistics. Topics include random variables, probability density functions, estimation, statistical tests, t- tests, correlation, simple linear regression, one-way analysis of variance, and randomized blocks. HPA 540: Epidemiological Applications in Health Services Research (3): This course presents research and quantitative methods for the design and analysis of epidemiologic studies. These studies use observational methods to assess the health and disease status of human populations or to identify factors associated with health and disease status. Specific topics include causation and research hypotheses in epidemiology; measures of disease frequency (case definition, incidence and prevalence, rates and ratios, and standardization); measures of association (odds and risk ratios, and risk differences); study designs (ecological, cross-sectional, case-control, and cohort); bias, confounding effects, and effect modification; multivariate analysis (logistic regression and Poisson regression); sample size and power estimation for epidemiologic study designs; and special topics (disease prevention and screening, molecular epidemiology, geographic variation in disease occurrence, race/ethnicity and health disparities in epidemiological research. Prerequisite for HPA students: HPA 440, HPA 528. HPA 561: Introduction to Research Design in Health Services Research (3): This course is an introduction to research design and methods in health services research. Topics include the scientific method, motivation for health services research questions, frameworks and hypotheses, types of validity, sample design, and randomized, quasi-experimental, and observational research designs. Students write a research proposal. HPA 564: Introduction to Research Methods in Health Services Research (3): The focus of this course is the basic linear regression model, which serves as the main building block and point of departure for more advanced econometric methods. Both the theoretical underpinnings and practical aspects of regression models will be discussed. Prerequisite: STAT 401. HPA 528: Health Data Analysis for Research (3): This course trains students in data base management (data cleaning, types of missing data, file construction, confidentiality procedures, and documentation); alternative ways of treating missing data; and the features (sample design, components, contents, and special design features) of some of the main secondary data sets used in health services research (e.g., HRS, MCBS, MEPS, Medicare claims data); merging data and extracting analysis files. The course also provides students with some hands-on experience analyzing one of the main secondary data sets using major software packages. PH.D. PROGRAM TRACKS Health Economics This track consists of 24 credits in theory, research methods, and related electives as described below. Prerequisite: Undergraduate intermediate microeconomics and a basic calculus course. These are popular courses and many universities, including Penn State, offer sections over the summer. Alternatively, students could take these courses at a local college or university before arriving at University Park or during their first fall semester. 4

8 Theory (9 credits) AEREC 597E: Applied Microeconomic Theory (3 credits): Basic principles of microeconomic theory using calculus, with an emphasis on applied theory and problem solving. Topics include consumer choice and demand, production and supply, the functioning of competitive and monopolistic markets, and general equilibrium and welfare analysis. Prerequisite: ECON 302 and basic calculus. HPA 445: Health Economics (3): Economic analysis of the U.S. health care system; planning, organization, and financing; current public policy issues and alternatives. Prerequisite: ECON 302, ECON 315, or ECON 323. (or) HPA 545: Introduction to Health Economics (3): Survey of the application of economics to the roles of markets and government in health care. HPA 562: Economics Applications in Health Services Research (3): Selected topics in health economics with an emphasis on recent developments in the literature. Prerequisite: HPA 445 or HPA 545. Methods (9 credits) HPA 566: Advanced Methods in Health Services Research I (3 credits): Advanced topics course focusing on extensions of the ordinary least squares regression model. Topics include discrete choice models, limited dependent variable models, count models, hazard models, models that account for censoring and sample selection, multilevel models, and panel data. Prerequisite: HPA 564 or equivalent. HPA 567: Advanced Methods in Health Services Research II (3): Advanced topics course focusing on causal inference. Topics include fixed effects models, difference-in-differences, instrumental variables, propensity score matching, and regression discontinuity designs. Prerequisite: HPA 564 or equivalent. Choose 3 additional credits in consultation with and approved by the Doctoral Thesis Committee. Electives (6 credits) Select 6 credits in consultation with and approved by the doctoral thesis committee. The thesis committee will work with the student to identify classes that will be useful for the student s dissertation research. These may include courses in business, public health sciences, economics, demography, or statistics. Sample Electives Below is a list of courses that may be of interest to doctoral students in the Economics and Health Policy Track. Many others around the university also may be appropriate. BA 427: Risk and Decisions: Conceptualizing decisions involving risk, analyzing choices, estimating the risk, and communicating the analysis. BA 450: Optimization for Business Decisions: Optimization models quickly and efficiently analyze a large number of scenarios to find the best course of action for business applications. BA 597D: Advanced Microeconomic Analysis: This course discusses topics in advanced microeconomic analysis including competitive analysis, game theory, and mechanism design. 5

9 ECON 463: Economic Demography: Microeconomics of demographic behavior; interrelationships between demographic and economic factors in developing and industrialized economies; economic welfare and policy implications. ECON 515: Labor Economics I: Labor supply and income maintenance; human capital, job search and training; labor demand, minimum wage, and discrimination. ECON 516: Labor Economics II: Topics in Labor Supply: Analysis of microeconomic models of labor supply, human capital, hedonic wages, job search, fertility and marriage. Emphasis is on applied work in econometric methodology. ECON 521: Advanced Microeconomic Theory: Survey of topics in microeconomic theory. ECON 543: Industrial Organization and Public Policy: The structure of American industry; performance and behavior; public policies toward business. PHS 535: Quality of Care Measurement: Emphasizes the concept and measurement issues involved in assessing and improving the quality of health care. PHS 536: Health Survey Research Methods: This course provides instruction on how to design health research survey questionnaires and how to conduct survey studies. PHS 570: Health Economics and Economic Evaluation: An introductory course on applied economic evaluation, with emphasis on micro-economic theory, cost-effectiveness and economic modeling. STAT 464: Applied Nonparametric Statistics: Tests based on nominal and ordinal data for both related and independent samples. Chi-square tests, correlation. STAT 503: Design of Experiments: Design principles; optimality; and confounding in split-plot, repeated measures, fractional factorial, response surface, and balanced/partially balanced incomplete block designs. Health Care Management and Organization Track This track consists of 24 credits in management or business courses, subdivided into theory, methods, and elective courses. Theory (6 credits) HPA 503: Health Services Organizational Behavior (3 credits): A systematic application of the principles of organizational behavior to understanding professional roles in health services organizations. HPA 563: Organizational Studies in Health Services Research (3): Applications of theoretical and empirical tools of organizational studies in the delivery of health care. 6

10 Methods (9 credits) Select HPA 566 (below) and two other 3-credit methods courses. HPA 566: Advanced Methods in Health Services Research I (3 credits): Advanced topics course focusing on extensions of the ordinary least squares regression model. Possible topics include discrete choice models, limited dependent variable models, count models, hazard models, models that account for censoring and sample selection, multilevel models, and panel data. Prerequisite: HPA 564. HDFS 521: Qualitative Methods in Human Development and Family Studies (3): Introduction to interdisciplinary qualitative methods, principles and theory of interpretation, methodologies, data collection and analysis. MGMT 539: Seminar in Organizational Social Networks (3): Learn theory, concepts, and methods for research on organizational social networks. Prerequisite: admission to a doctoral program at Penn State. MGMT 588: Seminar in Multi-Level Organizational Research (3): The seminar addresses theory, research, and methodological issues surrounding the multi-level integration of micro- and macroorganizational concepts. Prerequisite: MGMT 528, MGMT 538, OR equivalent. MGMT 592: Qualitative Research Methods (3): This course provides students with an introduction to and experience with qualitative research methods employed in organizational contexts. Prerequisite: admission to a doctoral program at Penn State. NURS 585: Qualitative Methods in Health Research (3): Provides an overview of advanced qualitative research methodologies useful in the conduct of social and behavioral health research. PHS 536: Health Survey Research Methods (3): This course provides instruction on how to design health research survey questionnaires and how to conduct survey studies. Prerequisite: HES 520; HES 500. HPA 567: Advanced Methods in Health Services Research II (3 credits). Advanced topics course focusing on causal inference. Possible topics include fixed effects models, difference-in-differences, instrumental variables, propensity score matching, and regression discontinuity designs. Prerequisite HPA 564 or equivalent. Sample Electives (9 credits) Select 9 credits from in consultation with and approved by the doctoral thesis committee. The thesis committee will work with the student to identify classes that will be useful for the student s dissertation research. Elective courses should complement the HPA required courses and should focus on the student s area of interest, relevant to cognate/discipline (e.g., business/management, sociology, etc.) AND unit of analysis (e.g., individual, organizational, community). Students also should be mindful of prerequisites and timing of elective courses. A description of courses is found at: The courses listed below are recommendations only. Other courses, throughout the university, also may be appropriate for students in this track. The student s doctoral thesis committee must approve elective courses. 7

11 Organizational Change HPA 805: Change Leadership in Health Services Organizations (3 credits): Exploration of diagnostic and intervention strategies employed in planned change in health and human services organizations and programs. MGMT 523: Organizational Change: Theory and Practice (3): Analysis of research, theory, and practice in dynamics of organizational change. Research literature reviewed for evaluation of concepts and methods. Work Force and Human Resources MGMT 541: Human Resource Management (3 credits): An in-depth examination of the strategic planning and implementation of human resource management, including staffing, development, appraisal, and rewards. MGMT 548: Seminar in Human Resource Management (3): Current theoretical and methodological issues applicable to the design, implementation, and evaluation of human resource practices and programs. PSY 523: Social-Organization Psychology in Industry (3): Analysis of the role of social and organizational variables as they affect employee performance and employee attitudes. Prerequisite: PSYCH 484. WF ED 508: Work Force Education Management (3): Introduction to theories and concepts of managing workforce education programs in the public and private sector. WF ED 574: Strategic Planning for Education for Work (3): Study of human capital as a component of education, industrial and business training strategic planning at economy, and organizational levels. Prerequisite: WF ED 471, WF ED 572, WF ED 573. HRER 501: Labor and Employment Law (3): Legal context of employment in the United States. HRER 502: Organization of the Workplace (3): Organization and transformations of the workplace and the labor process, including Taylorism, Fordism, and flexible forms. HRER 504: Seminar in Industrial Relations (3): Theory, process, and issues of industrial relations, including collective bargaining and contract administration. HRER 505: Seminar in Human Resources (3): Current human resource topics in the context of organizational strategy, planning, and responsibility. HRER 516: Labor Market Analysis (3): Neoclassical, institutional and systemic theories of external and internal labor markets and their dynamics. HRER 535: Labor and Human Resources Public Sector (3): Processes and issues of employment relations in the public sector, including union-management relations and human resource issues. HRER 536: Diversity in the Workplace (3): Women and minorities in the workplace. NURS 501: Issues in Nursing and Health Care (3): Analysis and evaluation of the health care system with emphasis on health policy and economic issues affecting nursing practice. 8

12 Quality Improvement HPA 551: Quality Improvement in Healthcare (3 credits): Examination of major approaches to performance improvement in contemporary healthcare systems. PHS 535: Quality of Care Measurement (3): Emphasizes the concept and measurement issues involved in assessing and improving the quality of health care. Prerequisite: enrollment in the master's degree program in Health Evaluation Sciences and satisfactory completion of HES 510, 520. HPA 523: Managerial Epidemiology (3): This course is intended to familiarize students with the principles and methods of managerial epidemiology and its applications to health care quality improvement. Prerequisite: HPA/BBH 440. Organizational Theory and Behavior HPA 524: Management of Health Services Organizations (3 credits): A systematic study of the roles of health services managers and the organizational and environmental context within which they work. MGMT 528: Seminar in Organizational Behavior (3): Current theoretical and research issues applicable to the study of individual and group behavior within organizational settings. MGMT 538: Seminar in Organization Theory (3): Current theoretical and research issues applicable to the study of design and management of complex organizations. MGMT 558: Seminar in Organizational Decision Making (3): An in-depth examination of decision making, including bounded rationality, political behaviors, choice and post-decision processes. SOC 544: Current Issues in Complex Organizations (3): Critical survey of recent developments in sociological study of organizations and the theory of bureaucracy, including reciprocal effects on environments. Prerequisite: SOC 444. Information Technology HPA 855: Information Systems in Health Services Administration (3 credits): Foundations of information systems for supporting clinical services, quality improvement, and administrative functions in health services management. IST 501: Integrative Theories and Methods of the Information Sciences and Technology (3): An integrative treatment of research and theories on how technologies are used to meet information needs at multiple levels of analysis. IST 531: Human Information Behavior: Information and the User (3): Introduction to research into the nature of human information and communication processes at the individual, social, and organizational levels. Prerequisite: IST 501. IST 532: Organizational Informatics (3): Researching information and information systems in organizations. Prerequisite: IST

13 IST 571: (MIS) Information Technology Strategy (2): Examines link between firm's corporate strategy and vision and information technology strategy; covers how information technology transforms and enables business. Marketing and Strategy MGMT 578: Seminar in Corporate Strategy (3 credits): Current theoretical and research issues applicable to the study of corporate strategy formulation and implementation. Prevention and Community Health HPA 541: Poverty, Race, Ethnicity, and Child Health (3 credits): This graduate seminar focuses on disparities in infant, child, and adolescent health and policies and programs impacting these disparities. HDFS 503: Human Development Intervention: Analysis of Theories and Approaches (3): Theoretical and empirical analyses of multilevel approaches for enhancing development of individuals and families. Prerequisite: graduate status in HDFS or related fields; first in a sequence. HDFS 506: Design and Evaluation of Prevention Programs Across the Life Span (3): An introduction to the theory and application of program evaluation; both process and outcome evaluation strategies are addressed. Prerequisite: HDFS 503, HDFS 516. HDFS 508: Best Practices in Preventive Intervention (1-6): Implementing empirically validated preventative programs; discussion and evaluation of theory and techniques. Prerequisite: HDFS 503. R SOC 552: Theoretical Frameworks for Rural Community Research (3): Application of community theories to the study of communities in rural areas. Prerequisite: R SOC 452. Leadership MGMT 535: The Upper Echelons Perspective: Theory and Research (3 credits): To learn to evaluate and conduct research on top executives and their influence on organizational strategy, structure and performance. Prerequisite: admission to a doctoral program at Penn State. R SOC 505: (CEDEV) Leadership Development (3): Exploration, understanding, and application of leadership roles, strategies, and principles in group and community settings. Prerequisite: R SOC 305; 6 credits in social or behavioral sciences. Finance, Economics, and Policy HPA 835: Financial Management in Health Services Organizations (3 credits): The financial environment of health services organizations; financial aspects of management decision making; emphasis on revenue sources, budgeting, and cost control. Prerequisite: HPA 447. HPA 545: Introduction to Health Economics (3): Survey of the application of economics to the roles of markets and government in health care. Prerequisite: ECON 302. HPA 562: Economics Applications In Health Services Research (3): Application of theoretical and empirical tools of microeconomics to issues in health services utilization and delivery. Prerequisite: ECON 302; HPA 445 or HPA

14 Law, Ethics, and Health Management HPA 836: Health Law (3 credits): The legal process as it applies to the health administrator, health organization, medical provider, and patient. Prerequisite: HPA 520. BMMB: 509 Ethics in Biomedical Science (1): Discussion of ethical issues relevant to scientific research in the biomedical sciences. Management of Health Services for Aging Populations HDFS 590: Gerontology Colloquium (1 credit) SOC 535: Sociology of Aging (3): Current research and methodological issues in the sociological study of aging. Health Services Research PHS 535: Quality of Care Measurement (3 credits): Emphasizes the concept and measurement issues involved in assessing and improving the quality of health care. PHS 536: Health Survey Research Methods (3): This course provides instruction on how to design health research survey questionnaires and how to conduct survey studies. PHS 570: Health Economics and Economic Evaluation (3): An introductory course on applied economic evaluation, with emphasis on micro-economic theory, cost-effectiveness and economic modeling. Population Health Track This track consists of a minimum of 24 credits in population health and demography courses. While all students in this track take coursework in demography and population health, many choose to pursue a dual title degree in Demography and Health Policy and Administration or a Demography minor. To qualify for a minor in Demography, students must take at least 15 course credits in demography in addition to enrolling in DEMOG 590 (Colloquium, Professional Development) for 1 credit each fall semester in residence. A minimum of 3 credits is required in each of the following: (1) disciplinary survey courses, (2) demographic techniques (SOC 573), (3) seminars in demographic processes, and (4) seminars in population studies. For students in departments participating in the dual-title major (Agricultural, Environmental, and Regional Economics; Anthropology; Economics; Health Policy and Administration; Human Development and Family Studies; Rural Sociology; and Sociology), all credit requirements for a Demography minor must be in core demography courses outside his/her major field. The student s doctoral committee must approve of the choice of the Demography minor, and one member of the doctoral committee must be from the Demography Program faculty. 11

15 Students completing the dual title Ph.D. must meet the following requirements: Complete a minimum of 24 demography-related course credits. The following is required as a minimum in each curriculum category: o Disciplinary Survey Course (3 credits) o Demographic Methods Courses (6 credits) o Seminars in Demographic Processes (6 credits) o Seminars in Population Studies (3 credits) o DEMOG 590 (Colloquium, Professional Development) (1 credit required each fall semester in residence until completion of Comprehensive Exam) Final course selection is determined in consultation with the student's doctoral committee. For students entering with a master's degree from another institution, equivalent course credits can be accepted. At least 3 demography course credits must be taken outside the graduate major program department. Choose demography as one of the main areas of the Ph.D. comprehensive examination. A fourmember committee is required for a dual-title degree program. The chair or director of dissertation research and at least one additional member of the doctoral committee must be members of the Demography program faculty. The Demography faculty members on the student's committee are responsible for administering an examination in demography, which constitutes a portion of the comprehensive examination of the doctoral student in the program option. Write a dissertation on a topic related to demography. Additional information about the minor and dual title degree in HPA and demography can be found at All graduate students admitted to HPA who plan to pursue the demography minor or the dual title degree must complete an application for the Demography Program, available from Stephen Matthews (sxm27@psu.edu). Courses denoted by an asterisk (*) below are especially relevant to health and may be of particular interest to HPA students. Theory (6 total credits) HPA Disciplinary Survey Course (3 credits) Students must take the following course: HPA 525: Health Care Across the Life Course (3 credits): This graduate seminar uses a population health approach to examine vulnerable populations with shifting demographics that access health and health services at different, sometimes unequal, rates across the life course. Demography Disciplinary Survey Course (3 credits) Students also should take one of the courses listed below. ANTH 408: Anthropological Demography (3 credits): Analysis of demographic studies in traditional and very small populations. *SOC 423: Social Demography (3): Social demographic perspectives on fertility, mortality, morbidity, migration, population density, demographic transitions, immigration, family, the aged and minorities. ECON 463: Economic Demography (3): Economic aspects of growing versus stationary populations; historical interrelationships between demographic and economic factors; economic welfare and policy implications. 12

16 Methods (Minimum 9 total credits) Demographic Techniques (3 credits) Students must take the following courses: *SOC 573: Demographic Techniques (3 credits): Survey of demographic research methods; demographic data; measures of health, mortality, fertility, and migration; life tables, population projections. HPA 567: Advanced Methods in Health Services Research II (3 credits): Advanced topics course focusing on causal inference. Possible topics include fixed effects models, difference-in-differences, instrumental variables, propensity score matching, and regression discontinuity designs. Prerequisite HPA 564 or equivalent. Advanced Courses (3 credits) Students also should take one of the courses below. SOC 576: Applied Mathematical Demography (3 credits): Survey of mathematical models used in the study of population growth, survivorship, fertility, migration, stability, kinship, labor force projections. SOC 577: Techniques of Event History Modeling (3): In-depth review of survival analysis methods for the analysis of change in discrete dependent variables. SOC 579: Spatial Demography (3): Spatial analysis tools applied to demographic research, including issues in the collection, integration, manipulation, visualization, and analysis of both primary and secondary demographic data sources in GIS. (Students may count one but not both of the following courses toward the Ph.D. Demographic Methods requirement.) SOC 578: Multilevel Models (3): Contextual analysis and growth modeling as applied to characteristics of schools, neighborhoods, geographic regions, and individual outcomes. Two-level and three-level models, multilevel analysis of discrete dependent variables, and latent variable models. HDFS 517: Multivariate (Multi-Level) Change (3): Analysis of both general linear mixed models and the multilevel formulation, i.e. the hierarchical linear model (HLM). Course emphasis is on longitudinal (growth curve) models. Electives (Minimum 9 total credits; For a Demography minor: 6 credits in Seminars in Demographic Processes, 3 credits in Seminars in Population Studies, 6 credits in other courses selected in consultation with and approved by the doctoral thesis committee [must include 2 credits in DEMOG 590]). Seminars in Demographic Processes (6 credits) Students should take two of the courses listed below. SOC 521: Family Demography (3 credits): Current theoretical, methodological and substantive issues in family demography; nuptiality, divorce, household composition, female employment, migration, and fertility. 13

17 SOC 523: Internal and International Migration (3): Theories, frameworks, and policies related to internal and international migration patterns in developed and developing nations. SOC 524: The Demography of Human Fertility (3): Overview of major issues and methodological approaches in the demographic study of human fertility in developing and developed countries. R SOC 525: Fertility, Population Change, and Development (3): Fertility and population growth in lessdeveloped countries; theories of fertility change, agricultural development, and population policies. SOC 527: Migration, Urbanization and Policy in Developing Countries (3): Dynamics of international and internal migration processes in the developing world; impacts on urbanization; human capital and brain-drain migration; policy implications. SOC 535: Sociology of Aging (3): Major theoretical and empirical research on aging. Demographic and sociological perspectives for understanding key social problems confronting older population members and policy makers. *ANTH 566: Infectious Diseases in Human Populations (3): Population aspects of infectious disease demography, ecology, and epidemiology; interactions between human host and its microparasites; and the implications of infectious diseases in modeling human population dynamics and ecology. *SOC 597: Global Health and Mortality (3): Theoretical and empirical analysis of current and historical developed and developing country issues concerning epidemiological/health transition, demographic and socioeconomic differentials in health and mortality, infant and child mortality, status of women and health, environment and health, demographic change and nutrition, health care systems, and health planning policies. SOC 597: Race, Ethnicity and Family Processes (3): Cultural and structural explanations of racial and ethnic variation in family processes and their implications for inequality in child and adult well-being in the U.S. Seminar in Population Studies (3 credits minimum) Students should take at least one of the courses listed below. *HPA 526/SOC 526: Health Disparities (3): This graduate seminar utilizes an interdisciplinary, population health approach to analyze health disparities, the social conditions that are related to the health of populations, and some of the mechanisms through which these patterns are produced. EDTHP 516: Education and Demographic Change in the U.S. and Abroad (3): Interrelationship between schooling and employment, marriage, fertility, and migration. Focus comparatively on the U.S. and developing countries. EDTHP 597: Education of Immigrants Children (3): This course is designed to give students a broad familiarity with sociological perspectives and research on immigration and schooling for children. SOC 522: Demography of the Life Course (3): Theoretical bases, critical concepts, and methods of life course analysis; applications to age and gender population cohorts. 14

18 *HPA 541: Poverty, Race, Ethnicity and Child's Health (3): This graduate seminar focuses on socioeconomic and racial/ethnic disparities in the health and well-being of infants, children, and adolescents, as well as policies and programs aimed at improving children's health and reducing disparities. R SOC 530: Sociology and Demography of Poverty in the U.S. (3): Theory and measurement of poverty with an emphasis on the U.S., social and demographic characteristics of the poor, urban underclass and vulnerable rural groups, and social welfare policy. SOC 530: Sociology of the Family (3): In-depth analysis of major issues and demographic empirical research in family, work and gender; social class and families; father and grandparents; family law and policy issues. SOC/HD FS 531: Family Disorganization (3): Theory and research on population-related family processes including family formation, parent-child relations, divorce, and family in remarriage. HD FS/SOC 537: Biosocial Perspectives on the Family (3): Theoretical and measurement advances in knowledge about family processes resulting from the integration of information from the fields of behavioral endocrinology (study of hormones), behavioral genetics, evolutionary psychology, and demography. AG EC 550: International Economic Development and Agriculture (3): The economic development process with particular emphasis on agriculture and population. SOC 560: Urban Sociology (3): Examination of the structure and dynamics of North American cities and the residents' experiences in such settings. SOC/HDFS 537: Biosocial Perspectives on the Family (3): The implications of knowledge from behavioral endocrinology, behavior genetics, and evolutionary psychology for understanding family relationships and child development. HD FS 525: Introduction to Family Studies (3): Introduction to current theory and research about micro and macro forces related to family relationships and development. *ANTH 566: Infectious Diseases in Human Populations (3): Population aspects of infectious disease demography, ecology, and epidemiology; interactions between human host and its microparasites; and the implications of infectious diseases in modeling human population dynamics and ecology. SOC 597: Race, Ethnicity and Residence (3): Residential experiences, regional redistribution, suburbanization, segregation, homeseeking behavior, housing market discrimination, neighborhood preferences, and local social relations in different types of race/ethnic settings (ghettos, barrios, Chinatowns, etc.). Additional Population Health Related Electives BB H 501: Biobehavioral Systems in Health and Development: Theory and Processes (3 credits): Examination of theories and basic processes for understanding individuals as dynamic biobehavioral complex systems functioning through continual inter-actions. 15

19 BB H 502/PSYCH 502: Health: Biobehavioral Perspectives (3): Health and different kinds of illnesses or disabilities result from the interaction of biological, psychological, behavioral, and environmental factors. This seminar draws upon knowledge from behavior medicine, health psychology, and other fields to understand such multivariate interactions in the etiology of health and illness and illustrates those processes with different kinds of health issues. BB H 503: Biobehavioral Systems in Health and Development: Processes and Integration (3): Examination and integration of basic processes for understanding individuals as dynamic biobehavioral complex systems functioning through continual interactions. Prerequisite: or concurrent: BB H 501. BB H 504: Biobehavioral Health Intervention Strategies (3): Effective Biobehavioral intervention strategies to promote healthy development, prevent illness, and facilitate recovery or rehabilitation from illness requires a multi method approach targeted towards the interaction of biological, behavioral, and environmental variables. This seminar reviews the characteristics of such an approach and examines the nature of and evidence about the effectiveness of specific methods in current use. BB H 505: Biobehavioral Health Research Strategies (3): To advance the knowledge base underlying a Biobehavioral approach requires an interaction of theory development and empirically based research strategies and methods to the relevant issues. This seminar examines the philosophy of science and the array of research strategies and methods relevant to the study of Biobehavioral health issues. BB H 521: Structural Equation Modeling (3): Review of reliability, factor analysis, and multiple regression; confirmatory factor analysis (CFA) and the LISREL program; identification, specification, and goodness of fit; multiple group CFA; latent variable regression and path models; SEM with missing data. The approach in this course is mainly conceptual and practical, with BB H and social science research examples. BB H 551: World Health Promotion (3): Analysis of the various health problems that affect humans throughout the world; emphasis will be placed on personal health issues. Health Services Research PHS 535: Quality of Care Measurement (3 credits): Emphasizes the concept and measurement issues involved in assessing and improving the quality of health care. PHS 536: Health Survey Research Methods (3): This course provides instruction on how to design health research survey questionnaires and how to conduct survey studies. PHS 570: Health Economics and Economic Evaluation (3): An introductory course on applied economic evaluation, with emphasis on micro-economic theory, cost-effectiveness and economic modeling. OTHER PROGRAM REQUIREMENTS Once admitted, students must satisfy requirements established by the Graduate School and those specified by the HPA Department. The following sections describe both sets of requirements: 16

20 Ph.D. students are responsible for knowing and meeting the requirements of the Graduate School and of the HPA Program as described in the following documents: 1) The Pennsylvania State University Graduate Degree Programs Bulletin ( 2) The Thesis Guide published by the Graduate School ( 3) the Ph.D. Program and Policy Handbook ( and 4) other policies, notices, and announcements emanating from the University, the Graduate School, or HPA Department. Many major and minor items relate to orderly progress through a graduate program. The Graduate School web site ( and the HPA Doctoral Program Web site ( provide regular updates related to graduate study. Be especially alert to relevant deadlines. Each semester, the Graduate School issues a calendar of deadline dates, which is available online and in the Kern Graduate Center. Students are also encouraged to watch bulletin boards and notices distributed through student mailboxes, , and the HPA web site ( HPA PROGRAM REQUIREMENTS The health policy and administration field is, by nature, interdisciplinary and multidisciplinary. A multiplicity of views and interests is encouraged, though students fare best when specializing in a particular area. Programs of study for individual students should be discussed with advisors, research mentors, and doctoral committee members on an individual basis within the framework of the requirements described below. Doctoral studies require students to identify those courses that will help them begin to establish their expertise. This requires that students establish a long-range plan for coursework, study, and research experience early in their academic careers. This "Plan of Study" requires changes and updates as one moves through the program and learns more about what one's professional contribution can be, what competencies are needed to achieve one's goals, and what resources are available at Penn State to develop those competencies. Some of these requirements may be met through prior graduate coursework at Penn State or other universities. In addition, several credits of thesis research are required by the Graduate School. Mentors and Advisors Mentoring is core to the learning experience at the graduate research degree level. Faculty mentors ensure that the student becomes knowledgeable in the field of health services, learns to think critically, is challenged intellectually, and aspires to create new knowledge. Moreover, the mentor helps the student develop personal skills needed for successful professional practice. The mentoring relationship recognizes that graduate training is a time of socialization to the norms, values, and behaviors of the profession and discipline. The relationship is also different for each student, varying according to age, gender, culture, and experience. Mentoring is also an opportunity for growth for the mentor. Advisors are normally appointed in early summer before the students' arrival on campus. Each student will be notified of the faculty member who will act as his or her advisor and how to contact that person. Each student is encouraged to contact his or her new advisor early to begin planning the first semester program and to otherwise facilitate transition into the Ph.D. program. Advising assignments are, in some sense, an official recognition of an intended or existing mentoring relationship. Ideally, the initial advisor will be the person whom the student will appoint as mentor and thesis chair. However, this may not always be the case, and early in a student s graduate career, he or she should select a research mentor. The main responsibility of the initial advisor is to assist the student in choosing courses and other experiences that will form the foundation for the doctoral dissertation. The student should interact with the advisor on a regular basis. 17

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